CGHS hospital rates for special treatments

  

AGREEMENT FOR EMPANELMENT OF IVY HOSPITAL,
MOHALI, BY NORTHERN RAILWAY FOR THE YEAR 2010-11

AGREEMENT

   This agreement is made on 21st Day of August 2010 between President of the Republic of India Acting through the Chief Medical Supdt Northern Railway Ambala Cantt and Ivy Hospital. Sector 71, Mohali for recognition for a period of one year from the date 19.02.2010 on bill system of payment for the treatment of Kindney Diseases, Cancer, Gynae & Obst. Cases for Railway Beneficiaries of Ambala Division on the CGHS – 2008 package rates of Chandigarh and other terms and condition will be as under. Upward revision of rates during this period will not be considered vide CMD/NDLS Letter No.139-Med/Recogn./IVF/UMB dated 08.03.2010 & 27.04.2010 and Rly Board letter No. 2009/H-1/11/10 (N.R.) dated 19.02.2010 with the following terms and condition for the period of one year i.e. w.e.f. 19.02.2010 to 18.02.2011.

TERMS AND CONDITION

1. Charges of CGHS for Kidney Diseases, Cancer, Gynae & Obst

No	No. of CGHS Books -2008	Procedures/Operations	Rates of CGHS 2008 CDG in Rs
1	390	Normal delivery or with episiotomy & P. repair	6500/-
2	393	Cesarean Section	12000/-
3	394	Cesarean Hy sterectomy	13750/-
4	395	Rupture Uterus- closure & repair with Tubal Ligation	13750/-
5	397	Laparotomy for Ectopic Ruptore	9700/-
6	398	Laparotomy-peritonitis Lavage and drainage	8100/-
7	405	Exploration of perineal haematoma & resuturing of episiotomy	6500/-
8	406	Exploration of abdominal heamatoma (after lapratomy + LUCS)	8900/-
9	408	Manual removal of placenta	2500/-
10	409	3rd stage complication MRP for outside delivery etc	3000/-
11	411	Burst-abdomen repair	8100/-
12	422	Shirodhkar, Mc. Donalds stich	2500/-
13	477	Excision of Carotid Body-tumours	24300/-
14	479	Block dissection of cervical lymph nodes	16200/-
15	481	Operation for carcinoma lip-wedge-excision	6000/-
16	482	Operation for Carcinoma lip-vermiliortectomy	6000/-
17	483	Operation for carcinoma lip-wedge excision and vermilonetomy	7000/–
18	487	Exicision of the maxilla	15600/-
19	489	Hemimandibulectomy	18250/-
20	491	Hemiglossectomy	9100/-
21	492	Total Glossectomy	18250/-
22	493	Commondo Operation	18250/-
23	496	Parotidectomy-radical total	18250/-
24	502	Total Thyroidectomy (cancer)	15900/-
25	505	Total thyroidectomy and block dissection	21900/-
26	508	Excision of parathyroid adenoma/carcinoma	17800/-
27	509	Laryngectomy	25600/-
28	524	Radical neck dissection	20160/-
29	525	Carotid body excision	28500/-
30	526	Total larngectomy	28400/-
31	528	Parapharyngeal tumour excision	28500/-
32	532	Redical mastectomy (formal or modified)	24000/-
33	606	Oesophagectomy for carcinoma easophagus	20400/-
34	610	Oesophago gastrectomy for mid 1/3 lesion	20300/-
35	648	By pass procedure for inoperable carcinoma of pancreas	17800/-
36	655	Hepatic resections (lobectomy hepatectomy	16200/-
37	657	Operation on adrenal glands-unilateral for tumour	12000/-
38	684	Right hemi-colectomy	14300/-
39	685	Left hemi-colectomy	14300/-
40	705	Operation for neuroblastomy	14600/-
41	753	Total amputation of the penis	12000/-
42	763	Block dissection of inguinal nodes one	16200/-
43	764	Block dissection of inguinal nodes both sides	20200/-
44	766	Emergency dialysis femoral puncture	810/-
45	767	Emergency dialysis subclavian puncture	1010/-
46	768	Fistula/Shunt	4040/-
47	770	Heamo dialysis	960/-
48	771	Double lumen sub clavian catheter	1400/-
49	777	Renal transplantation	148000/-
50	782	CAPD	6000/-
51	790	Nephrectomy complicated tumour or adhesions	16160/-
52	799	TUPR & TUR bladder tumour	16160/-
53	940	Excision of brain tumours-supratentotial	40000/-
54	941	Excision of bain tumours-sublentotial	40000/-
55	942	Surgery of coard turnours	40000/-
56	943	Ventriculoatrial/ventriculoperitoneal shunt	20000/-
57	1056	Abdomial hysterectomy	13000/-
58	1057	Vaginal hysterectomy	13000/-
59	1058	Myomectomy	11400/-
60	1059	Vaginoplasty	12700/-
61	1060	Laparotomy (ectopic pregnancy)	11400/-
62	1061	Vulvectomy (simple/radical)	16200/-
63	1062	RVF Repair	16200/-
64	1065	Penneorrhaphy	11400/-
65	1066	Colporraphy	11400/-
66	1075	Excision vaginal septum	3500/-
67	1079	LaparoscopyLAVH	22000/-
68	1085	Hysteroscopy removal of septum	8250/-
69	1087	Werthimashysterectomy for cancer cervix	21000/-

Note:- The rates indicated above are for semi-private ward category, rates for Private Ward Shall be increased by 15% and those for General Ward be decreased by 10%. Rate for all other procedure and investigation will be same for all categories. Cost of implants will be extra as per ceiling rates.

   
   If any other procedure related to above specialties i.e. Kidney Diseases, Cancer, Gynae & Obst cases is done, the payment will be made on CGHS rates of CDG 2008.

 Duration of indoor treatment under package rates is as under:-

Upto 12 days. For Specialized (Super Specialties) treatment

Upto 07 days. For other Major Surgeries

Upto 03 days, for Laparoscopic surgeries normal Deliveries

The package for above include room rent from the date of admission to the date of discharge, service charges, nursing/Medical case, Surgeon’s and Anaesthetist’ fee, operation theatre charge, and one follow-up visit etc., nut does not include diet, cosmetics, toiletry, telephone charges, etc, which would be borne by the Railway beneficiaries themselves.

Photo copy of medical/RELHS card must be taken from patient and treating doctor should verify the identity of the patient.

Patients shall report with refer slip which shall bear signature of referring doctor and signature of patient will be attested duly counter signed by Chief Medical Supdt. I/C of division. In the event of non availability of C.M.S. I/C of division next doctor looking after his work will Referred at odd hours.

Refer slip will be signed by doctor in duplicate and one form will be submitted to Ivy Hospital, Sector 71, Mohali and another form will be kept with patient indoor record or in casualty.

Ivy Hospital, Sector 71, Mohali. Will directly submit the bills in duplicate on monthly basis to dealer of Div. Rly.Hosp. Ambala Cantt. For further processing along with photocopies of supporting bull, discharge slip, authority slip and refer slip by 7th of next month.

Dealer,Div. Rly. Hosp. Ambala cantt. After proper scrutiny and verification will forward the bills to Accounts Dept. for payment.

It will be endeavor of Rly. To clear the payment by cheque within 30 days of bill submission. But Rly Howpital, Sector 71, Mohali will not send any reminder/claim for payment within three months of submission of bill.

In events of any dispute or question arising under the condition or in connection with this contract the decision of the Chief Med. Supdt. Ambala Cantt will be final and binding upon Ivy Hospital. Sector 71. Mohali
Entitlement of Ward will be decided by referring doctor.

In emergencies, when patient reports to Ivy Hospital. Sector71. Mohali directly without any referral slip. He/she may be given the required treatment. But the Ivy Hospital. Will have to inform CMS/UMB within 24 hours and get the formal referral slip. Otherwise payment in such cases will not be made by the Railway.

s/d
Authorized Signatory
Of Ivy Hospital,
Sector 71, Mohali

s/d
(Dr.I.P.Sharma)
Chief Medical Supdt.
Ambala Cantt

Source -IRTSA